Veselý J, Procházka V, Válka J, Kucera J
Institute for Traumatology, Brno.
Acta Chir Plast. 1994;36(4):104-6.
Out of 167 free transfers 90 were applied to the lower extremities, i.e. 75 for injuries, 11 for an osteomyelitis and 4 for cancer. For these transfers were used the following 15 types of flaps; 37 from the forearm, 15 m. latissimus, 12 m. serratus ant. sup., 6 scapular, 4 fibula, 4 from the groin, 2 gracilis, 2 LAF, 1 TFL, 1 TRAM, 1 dorsalis pedis, 1 sartorius, 1 crista iliaca, 1 rectus abdominis, 1 combined latissimus+serratus. The transfer of flaps was satisfactory in 92%. The transfers to the lower extremity included in no case an emergency flap, in the acute phase within 7 days after injury were transferred 5 flaps. There were in addition 32 delayed and 38 secondary flaps. The report deals with important principles of the application of the above described transfers.
在167例游离组织移植中，90例应用于下肢，即75例用于损伤，11例用于骨髓炎，4例用于癌症。这些移植使用了以下15种皮瓣；37例取自前臂，15例背阔肌，12例前锯肌上部，6例肩胛皮瓣，4例腓骨皮瓣，4例腹股沟皮瓣，2例股薄肌皮瓣，2例阔筋膜张肌皮瓣，1例臀中肌皮瓣，1例腹直肌皮瓣，1例背阔肌+前锯肌联合皮瓣。皮瓣移植成功率为92%。下肢移植在任何情况下都不包括急诊皮瓣，在伤后7天内的急性期移植了5例皮瓣。此外，还有32例延迟皮瓣和38例二期皮瓣。本报告阐述了上述移植应用的重要原则。
